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Individual

DR. PATRICK V HICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 627-1669
(603) 624-2297
Mailing address
9 BEARDS HILL RD, BEDFORD, NH 03110-5745
(603) 488-1143

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10947
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010947
TUFTS
NH
01
7758140
AETNA
NH
01
8583
CIGNA
NH
01
NH1974
HARVARD PILGRIM
NH
Enumeration date
03/10/2006
Last updated
07/10/2008
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